COVENANT CARE ORANGE, INC (NPI# 1942335062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942335062 |
| Entity Type | Organization |
| Organization Name | COVENANT CARE ORANGE, INC |
| Other Organization Name | DOWNEY CARE CENTER |
| Practice Address |
13007 South Paramount Blvd Downey CA 90242-4329 |
| Practice Telephone | 5629239301 |
| Practice Fax Number | 5629233503 |
| Mailing Telephone | 5629239301 |
| Mailing Fax Number | 5629233503 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2013-09-26 |
| Authorized Official Name | CAROL SPARKS (DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Telephone | 9493491200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 940000176 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | OSHPD | 206190874 | 01 |
| CA | ZZT05519J | 05 |
| Other Name | Type Code |
|---|---|
| Downey Care Center | Doing Business As Name - Organization |
| Street Address |
13007 SOUTH PARAMOUNT BLVD |
| City | DOWNEY |
| State | CA |
| Zip Code | 90242-4329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117182 | Andy Vo Osborne | Respiratory Therapist, Registered | 9333 E Imperial High Way, Downey, CA 90242 | 2020-09-04 |
| 1639783459 | Enrique Robles Soto | Behavior Technician | 12432 Bellflower Blvd., Downey, CA 90242 | 2020-08-31 |
| 1043842461 | Paul Yokoyama | Pharmacist | 9542 Dalen Street, Downey, CA 90242 | 2020-02-05 |
| 1639727837 | Demontay Deon High | Behavior Technician | 12342 Bellflower Blvd, Downey, CA 90242 | 2019-08-30 |
| 1467922328 | Nurisha Ficklin | Behavior Technician | 12342 Bellflower Blvd., Downey, CA 90242 | 2018-12-04 |
| 1235622358 | Marlene Castaneda | Occupational Therapist | 12555 Lakewood Blvd Ste D, Downey, CA 90242 | 2018-06-13 |
| 1942727383 | Arhtur Lozano | Non-emergency Medical Transport (VAN) | 13109 Woodruff Ave, Downey, CA 90242 | 2017-08-26 |
| 1336665983 | Laura E Del Val | Nurse Practitioner | 12207 Rives Ave, Downey, CA 90242 | 2017-08-16 |
| 1982127288 | Tiffany Chiyeko Yonemoto | Recreation Therapist | 7601 E. Imperial Hwy., Downey, CA 90242 | 2017-07-19 |
| 1265955504 | Julie Helgren | Recreation Therapist | 7601 E. Imperial Highway, Jpi Building Rm 1124, Downey, CA 90242 | 2017-07-19 |
| Find all providers in zip 90242 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366908410 | Rio Hondo Healthcare, Inc. | Skilled Nursing Facility | 13007 Paramount Blvd, Downey, CA 90242-4329 | 2019-02-13 |
| 1871744631 | Pranjali Shah | Skilled Nursing Facility | 10719 Haledon Ave, Downey, CA 90241-2814 | 2008-10-09 |
| 1003803842 | Mental Health Convalescent Services, Inc. | Skilled Nursing Facility | 12023 Lakewood Blvd, Downey, CA 90242-2635 | 2005-10-05 |
| 1750380390 | Downey Community Care LLC | Skilled Nursing Facility | 9300 Telegraph Rd, Downey, CA 90240-2425 | 2005-07-15 |
| 1396029724 | The Healthcare Center of Downey, LLC | Skilled Nursing Facility | 12023 Lakewood Blvd, Downey, CA 90242-2635 | 2011-10-04 |
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| 1780204024 | Neighbor Care Congregate Home, Inc. | Skilled Nursing Facility | 3249 Gerald Dr, Newbury Park, CA 91320-2948 | 2020-04-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.